Sexual abuse in childhood : a report of four cases

Sexual abuse of children and adolescents is prevalent across all cultures. Sexual abuse often begins in infancy or toddler stage for many children. A Child's developmental level influences the detection and disclosure of sexual abuse. Pre-school children very rarely make verbal disclosures, but may present with behavioural and physical symptoms. Older children may make a conscious decision to reveal the abuse, but often feel that they risk their safety in making a disclosure. This paper reports four cases of sexual abuse detected in a clinic during a period of 12 months. The age group of these children ranged between 4-12 years.